Abstract

Rajendra Wakankar, Alka Patankar, Anil Humne and Amol Khadse

To identify the risk factors responsible for the complication leading to ICU admission and maternal outcome in terms of morbidity and mortality in an intensive care unit at Govt. Medical College Nagpur, Maharashtra. We carried out retrospective observational study. All patients admitted to ICU during pregnancy and up to 42 days of postpartum from 1 st July 2012 to 30 June 2013 were studied. Demographic data, medical and surgical histories, all the events in obstetric patients were recorded. Data was analysed by using appropriate software. 170 obstetric patients were admitted to ICU representing 1.5% of deliveries. Mean age was 24.65±4.05. Mean gravidity were 1.73±0.95. The most common obstetric cause for admission was haemorrhage (n=52, 30.58%) followed by hypertensive disorder of pregnancy (n=48, 28.23%). The commonest Non-Obstetric cause was tropical infective cases (n=19 11.17%). The commonest intervention was mechanical ventilation (n=114, 67%) and vasoactive infusion (n=55, 32.5%). Maternal mortality was 52.9% (n=90). Amongst them 93.33% (n=84) were referred cases ours being tertiary care centre. 63.52% (n=108) were from rural area.55.29% (n=94) patients received antenatal care, of these only 16 (17.02%) were booked at our hospital. Obstetric hemorrhage, hypertensive disorders of pregnancy and tropical diseases like viral encephalitis, Dengue fever, malarial fever, viral hepatitis and swine flu. Amongst 90 cases of Non-Survivors, 62.22% (n=56) belongs to obstetric group and 35.55% (n=32) were of non-obstetric group. Amongst Non-survivors 57.7% (n=52) died within 48 hour of admission.